Solutions

Experience Platform for Healthcare Payers

Improve member engagement and experiences with personalized communications and journeys

Get the IDC report

63%
of members say personalized outreach and recommendations would increase engagement with their health plan[1]

Overview

See how to create, personalize and deliver optimized member experiences

Today’s health plan providers want to encourage members to overcome individual health challenges and adopt healthier lifestyles. Traditional communications and processes are not tailored to member preferences, making meaningful engagement difficult. Health plans need to embrace digital member engagement strategies designed to lower care costs, increase healthcare quality and inform members.

Experience Platform for Healthcare Payer solution provides a member 360 view, allowing for intelligent, personalized health plan experiences that cater directly to the individual and improve understanding, adherence and impact.

Key benefits

Impact business and achieve better results.

View the infographic

  • Boost member experience and engagement

    Personalize member communications through targeted care journeys to encourage wellness, improve health and increase member retention.

  • Enable convenient, friction-free digital interactions

    Seamlessly deliver member interactions and communications across a range of digital channels to foster more convenient and personalized member engagement.

  • Easily collaborate and coordinate care

    Intelligently automate processes and workflows to increase collaboration, optimize communications and secure data exchanges across caregivers, patients and insurers.

  • Accelerate data-driven services

    Provide a consistent and highly personalized experience throughout the member relationship, engaging members to be their own health advocates.

  • Improve health outcomes

    Use intelligent outreach to engage members in disease management programs, improve health among those with chronic conditions and reduce the cost of care.

  • Support virtual-first programs

    Establish digital dialogues with members to deliver value and convenience and encourage informed care decisions.

Business impacts

  • Personalized communications

    Members look to their health plan for personalized health and wellness guidance. Traditional paper-based communications are too impersonal to create meaningful member engagement. Use omnichannel dialogues to support individual needs and preferences.

  • Care accessibility

    Increasing demand for convenient care access means healthcare payers must support virtual-first plans. Payers that only offer traditional care options struggle to renew members. Enable digital health services to enhance member satisfaction.

  • Member wellness

    Preventive care and disease management programs improve member health and reduce costs. Legacy systems and silos make it hard to tailor messages to individual health concerns. Deliver personalized education to help improve member wellness.

  • Member retention and satisfaction

    Payers need to give members complete information to help them understand their coverage and make informed decisions. Disconnected applications only provide part of the story, frustrating members. Integrate data to provide all needed information.

Leaders trust OpenText

See how customers are succeeding with Experience Platform for Healthcare Payers solution.

See more success stories

Blue Cross of Idaho enhances member experience with personalized, dynamic content

Learn more

Alaska Native Tribal Health Consortium secures life safety communication

Learn more

NAV consolidates customer communication platforms with OpenText

Learn more

Explore the components of the solution

Products

OpenText offers a bundled solution that uses personalized communications to boost member engagement:

Professional Services

OpenText Consulting Services combines end-to-end solution implementation with comprehensive technology services to help improve systems.

Experience Platform for Healthcare Payers resources

Improve patient and member experiences

Read the overview

Exceptional healthcare experiences drive quality and value

Read the blog

How can we help?

Footnotes

Footnotes

  1. [1]Health Payer Intelligence, Digital Member Experience Services May Boost Plan Satisfaction, September 2021.